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May 24, 1913


JAMA. 1913;60(21):1620. doi:10.1001/jama.1913.04340210030016

This new tonsillectome was designed to remove the tonsil in its capsule by the Sluder method. The essential and distinctive feature of this operation is the moving of the tonsil completely out of its normal bed forward and upward onto the eminence of the lower jar produced by the last molar tooth, and the utilization of this prominence in putting the tonsil through the aperture of the guillotine. For this operation a tonsillectome of great strength and leverage power is essential. To attain these ends Dr. Sluder has modified the Physick-Mackenzie guillotine by doubling the thickness of the shaft, shortening its length and making the handle longer. In using this instrument with its dull blade I found considerable difficulty in exerting sufficient pressure with the thumb to cut through the tissues. In consequence they were bruised and torn before the tonsil was removed.

In thinking over the matter it seemed

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